Susan R. Berg, MFT
Individual provider Active NPI Marriage & Family Therapist · Cotati, CA
NPI 1205924743 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1205924743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC17222 (CA)
- Practice address
- 315 E Cotati Ave Ste G
Cotati, CA 94931-7801 - Phone
- (707) 792-9716
- Fax
- (707) 794-8271
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC17222 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC17222 | CA | Yes |
Addresses
Primary practice location
315 E Cotati Ave Ste G
Cotati, CA 94931-7801
Mailing address
315 E. Cotati Ave. Suite G
Cotati, CA 94931
Phone (707) 792-9716
Other providers in Cotati, CA
- Kaila Renee Albini-Curtis
- Sophia Ammerman
- Bonnie Beem
- Trisha Bell
- Mark Gerald Bender
- Hannah Bornstein
- Danielle Bush
- Jose Alexis Castillo-Garcia
- Bonnie Lynn Castle
- Stephanie Cerruti
All providers in Cotati, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.